Job Description
Remote Inpatient ICD-10-CM/PCS DRG Auditor
Work from home position
Full Time position with full benefits
Essential Functions and Responsibilities
? Performs analysis of medical records and provider claims to validate appropriate DRG and ICD-10-CM/PCS code assignment, including complex medical and surgical cases
? Ensures that assigned codes and DRGs are supported by clinical documentation utilizing payer-specific clinical criteria
? Applies Official Guidelines for Coding and Reporting consistently and appropriately
? Provides detailed written explanations to support or rebut coding/DRG recommendations
Qualifications
Required:
● CCS credential from AHIMA; or a CIC or CPC credential from AAPC
● or more years of Inpatient/DRG auditing experience in an acute care setting or payer setting
● Expertise in ICD-10-CM/PCS, IPPS/MS-DRG and APR-DRG methodology and logic
● ...
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